Organization
LYNN M. SIKORSKI, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN MARIE SIKORSKI D.O. (PRESIDENT)
(248) 338-6400
Entity
Organization
Contact information
Practice address
1900 S TELEGRAPH RD, SUITE 100, BLOOMFIELD HILLS, MI 48302-0238
(248) 338-6400
(248) 338-2920
Mailing address
PO BOX 82154, ROCHESTER, MI 48308-2154
(248) 338-6400
(248) 338-2920
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101009963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156301155
BLUE CROSS IND. PIN
MI
05
—
3319129
—
MI
01
—
5101009963
PHYSICIAN LICENSE
MI
01
—
5630115
BLUE CARE NETWORK PROVIDE
MI
Enumeration date
03/29/2007
Last updated
02/24/2010
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